How much rates vary
Facilitymedian $2,630 · 10th to 90th $490 to $5,370Professionalmedian $468 · 10th to 90th $372 to $813
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $380.19 Median $1,548.82 Typical High $5,623.41 | Facility | None | $380.19 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None | $371.54 | $371.54 | $537.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $6,456.54 | Facility | None | $3,235.94 | $4,570.88 | $6,456.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $3,801.89 Typical High $4,897.79 | Facility | None | $478.63 | $3,801.89 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $676.08 | Professional | None | $389.05 | $416.87 | $676.08 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $1,445.44 | Professional | None | $371.54 | $575.44 | $1,445.44 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $501.19 | Professional | None | $436.52 | $467.74 | $501.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $3,981.07 | Facility | None | $446.68 | $1,047.13 | $3,981.07 |
United Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $831.76 | Professional | None | $389.05 | $524.81 | $831.76 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 54 · Surgery only | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $41.69 |
Where Illinois sits
The same service costs 5.2 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $4,868DE $935
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.